What is female genital reconstructive surgery?

Female genital reconstructive surgery (vaginoplasty) and cosmetic procedures for the vaginal canal and its mucous membrane, internal and external parts of the female genitalia (vulvo-vaginal structures), that might be absent or damaged because of disease or birth defect or because of an acquired cause, for example, through childbirth physical trauma.

Female genital reconstructive surgery (vaginoplasty) and genital procedures are restricted to patients who meet the eligibility criteria below. 

Patient eligibility criteria:

The patient's local NHS commissioning organisation will fund this treatment only if the patient meets the criteria below. This is because vaginoplasty is considered to be a cosmetic procedure, apart from when:

  • Absent from birth (congenital) or significant developmental abnormalities of the vaginal canal
  • Where repair of the vaginal canal is required after trauma.

The clinician in charge of the care of the patient’s specific condition, usually a hospital doctor, can assist the application, if there is exceptional clinical need for the treatment to be funded. The patient’s clinician must evidence clinical exceptionality and must be supported by the patient’s local NHS commissioning organisation. See separate leaflet for more information on Individual Funding Requests (IFRs).

Advice and further guidance:

Treatment policy for patients covered by NHS Birmingham and Solihull CCG

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